PMID- 12239720 OWN - NLM STAT- MEDLINE DCOM- 20030304 LR - 20041117 IS - 0148-7299 (Print) IS - 0148-7299 (Linking) VI - 112 IP - 1 DP - 2002 Sep 15 TI - Molecular breakpoint analysis and relevance of variable mosaicism in a woman with short stature, primary amenorrhea, unilateral gonadoblastoma, and a 46,X,del(Y)(q11)/45,X karyotype. PG - 51-5 AB - We report on a 30-year-old woman with short stature, completely female external genitalia, primary amenorrhea, bilateral streak gonads, unilateral gonadoblastoma, and a 46,X,del(Y)(q11)/45,X karyotype. Variable levels of mosaicism were found in blood and cultivated fibroblasts from both the skin and ovaries, with the percentage of the 45,X lineage never exceeding 33%. Fluorescence in situ hybridization (FISH) was performed with alpha satellite centromere region probes of the X and Y chromosomes (DXZ1 and DXZ3) as well as with the unique-sequence, locus-specific, sex-determining region of the Y chromosome gene (SRY) and the DXZ1 probes. Each signal was noted for DXZ1 on the X chromosome and for the Y probes on the marker chromosome. Molecular investigations with a panel of PCR markers spread over the whole Y chromosome indicated a deletion breakpoint between sY 78 (interval 4) and sY 151 (interval 5F). No mutation of the high mobility group-box (HMG-box) of the SRY gene could be found following sequence analysis. The phenotype/genotype correlation demonstrates the broad phenotypic range of low-level 45,X mosaicism with the resultant short stature and external female phenotype, despite the presence of SRY in a high proportion of cells in various tissues. CI - Copyright 2002 Wiley-Liss, Inc. FAU - Kotzot, Dieter AU - Kotzot D AD - Institute for Human Genetics, University of Leipzig, Leipzig, Germany. FAU - Dufke, Andreas AU - Dufke A FAU - Tzschach, Andreas AU - Tzschach A FAU - Baeckert-Sifeddine, Iris-Tatjana AU - Baeckert-Sifeddine IT FAU - Geppert, Martin AU - Geppert M FAU - Holland, Heidrun AU - Holland H FAU - Florus, Jobst M AU - Florus JM FAU - Froster, Ursula G AU - Froster UG LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Am J Med Genet JT - American journal of medical genetics JID - 7708900 RN - 0 (DNA Primers) SB - IM MH - Adult MH - Amenorrhea/*genetics MH - Base Sequence MH - Body Height/*genetics MH - Chromosome Banding MH - DNA Primers MH - Female MH - Gonadoblastoma/*genetics MH - Humans MH - Immunohistochemistry MH - *Karyotyping MH - *Mosaicism EDAT- 2002/09/20 10:00 MHDA- 2003/03/05 04:00 CRDT- 2002/09/20 10:00 PHST- 2002/09/20 10:00 [pubmed] PHST- 2003/03/05 04:00 [medline] PHST- 2002/09/20 10:00 [entrez] AID - 10.1002/ajmg.10612 [doi] PST - ppublish SO - Am J Med Genet. 2002 Sep 15;112(1):51-5. doi: 10.1002/ajmg.10612.